abilify side effects first week

Daniel Parker

2 min read

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12-03-2025

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Aripiprazole, better known by its brand name Abilify, is an antipsychotic medication commonly prescribed for conditions like schizophrenia, bipolar disorder, and major depressive disorder. While Abilify can be highly effective, it's crucial to be aware of potential side effects, especially during the first week of treatment. This article will explore common side effects experienced in the initial stages of Abilify treatment, helping you manage expectations and know when to contact your doctor.

Common Abilify Side Effects in the First Week

Many people experience some side effects when starting Abilify. These side effects often lessen in intensity or disappear entirely as the body adjusts to the medication. However, it's important to report any concerns to your prescribing physician.

Frequent Side Effects:

• Akathisia: This is a feeling of inner restlessness and an urgent need to move. It can manifest as pacing, fidgeting, or an inability to sit still. Akathisia is relatively common, especially in the first week.
• Nausea and Vomiting: Gastrointestinal distress, including nausea and vomiting, is a common initial side effect. This often subsides after the first few days.
• Sedation or Drowsiness: Feeling tired or sleepy is a frequent side effect, especially in the initial phase of treatment. This usually diminishes over time.
• Headache: Headaches are another common early side effect that usually resolves on its own.
• Dizziness and Lightheadedness: Changes in blood pressure can sometimes lead to dizziness or lightheadedness, particularly when standing up quickly.
• Weight Changes: Some individuals experience weight gain or loss, although this is often more noticeable over a longer treatment period.

Less Frequent, but Important Side Effects:

• Extrapyramidal Symptoms (EPS): These are movement disorders that can include tremors, muscle stiffness, and difficulty with coordination. While less frequent, they should be reported immediately.
• Tardive Dyskinesia (TD): This is a serious, potentially irreversible movement disorder characterized by involuntary, repetitive movements. TD is rare but more likely with long-term use.
• Neuroleptic Malignant Syndrome (NMS): This is a rare but life-threatening condition involving muscle rigidity, high fever, and altered mental status. Immediate medical attention is necessary if you suspect NMS.
• Increased Suicidal Thoughts: While rare, some individuals may experience an increase in suicidal thoughts or behaviors. Close monitoring is crucial, especially in the early stages.

Managing Abilify Side Effects

Many side effects can be managed with lifestyle adjustments or medication adjustments. Here are some tips:

• Stay Hydrated: Drink plenty of fluids to help alleviate nausea and dizziness.
• Eat Small, Frequent Meals: This can help prevent nausea and vomiting.
• Rise Slowly from a Lying or Sitting Position: This can minimize dizziness and lightheadedness.
• Get Enough Rest: Allow your body time to adjust to the medication.
• Talk to Your Doctor: Open communication with your doctor is vital for managing side effects and ensuring safe and effective treatment. Don't hesitate to discuss any concerns, no matter how minor they may seem.

When to Contact Your Doctor

Contact your doctor immediately if you experience any of the following:

• Severe nausea or vomiting
• Severe dizziness or lightheadedness
• Difficulty breathing
• Muscle rigidity or spasms
• High fever
• Changes in mental status
• Suicidal thoughts or behaviors

Remember, this information is for general knowledge and should not be considered medical advice. Always consult your physician or other qualified healthcare professional for any questions regarding Abilify or any other medication. They can provide personalized guidance based on your individual health needs. Your doctor can adjust your dosage or prescribe additional medications to help manage side effects. Open communication with your healthcare provider is key to a successful treatment experience.